Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $45.98 / $100.80	Facility		$24.00	$45.98	$100.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $18.20 / $65.86	Professional		$15.60	$18.20	$65.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $43.08 / $53.86	Professional		$27.26	$43.08	$53.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $41.37 / $90.04	Professional		$23.64	$41.37	$90.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $38.79 / $111.58	Facility		$23.64	$38.79	$111.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $24.35 / $63.17	Professional		$14.18	$24.35	$63.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $47.16 / $74.11	Facility		$28.34	$47.16	$74.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $46.68 / $63.17	Professional		$28.37	$46.68	$63.17
United Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $19.39 / $56.07	Professional		$14.18	$19.39	$56.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $23.64 / $23.64	Professional		$18.68	$23.64	$23.64